Organization
EAST JORDAN FAMILY HEALTH CENTER
Active
Organization
EAST JORDAN FAMILY HEALTH CENTER
Active
Other names
East Jordan Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCKINNON (CEO)
(231) 536-2206
Entity
Organization
Contact information
Practice address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(231) 536-2207
(231) 536-7739
Mailing address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(231) 536-2207
(231) 536-7739
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301008035
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2366537
NCPDP
—
Enumeration date
10/26/2005
Last updated
12/22/2025
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